HomeMy WebLinkAbout26373-zFORM NO. 4
TOWN OF SOUTNOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26061
Date: 03/06/00
THIS CERTIFIES that the building ADDITION
Location of Property: PETERS WAY FISHERS ISLAND
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 6 Block 2 Lot 3.3
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 3, 2000 pursuant to which
Building Permit No. 26373-Z dated MARCH 6, 2000
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
"AS BUILT"
The certificate is issued to JAMES R & AMY L SUEDMEIER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
'~ / ~u~orized~ Signature
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 26373 Z Date MARCH 6, 2000
Permission is hereby granted to:
JAMES R & AMY L SUEDMEIER
PO BOX 48
FISHERS ISLAND,NY 06390
for :
CONSTRUCT DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS
APPLIED FOR "AS BUILT"
at premises located at PETERS WAY
County Tax Map No. 473889 Section 006 Block
pursuant to application dated MARCH 3, 2000
FISHERS ISLAND
0002 Lot No. 003.003
and approved by the
Building Inspector.
Fee $ 75.00
riz/9~ Signature
Rev. 2/19/98
ORIGINAL
TOWN 0F SOUTHOLD
BUILDING DEPARTMENT
TOkrN H_ALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUP~NCY
This application must b~ filled in by ~ypewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installaeion from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of i% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a nertificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
Bo
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
i. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
!. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existinM Buildin~ - $100.00
3. Copy of Certificate of Occupancy - , .25~.
A. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
ate 3. l 0.
~oaa~ion of P~opert~ll ....................... ~'~'4~11q~¥~,~...~.,,,~ ..................................
House No. Stre~et ' Ha~et
Onwer or O~ors of Property ...... ~ .~ ~ .. ~
0oo, ...... ......... .... ...........
Realzh Deot Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
~equesr 5or: Temporary Certificate ........... Final Cern±cate ...........
Co~ ~06 ~
/
/
-,,it
1
L
~ent by: BAKER ELECTRIC INC 15152882226~ 0~/03,'08 8:08; ]¢JJ~_~232;~ege 4/'5
Sent by: BAKEP ELEOTRIO INC
15152882228; 03/03/00 8:08;
I _L___
,%ffolk County Recording & Endorsement Page
(SPECIFY TYp[.~ Gl* [ N~'rr(~' )
8UVI42LK COI~, NEW YOR~
~Jl,)X hs .t 'l'l,li[tl ~) Mi IS I' llE IS'PED OR I'RI Mi'~ IN ~[.AC< INK Of~Y PI~[OI( 'f'O ~O~DIN6 OR
~#232;Pago 5/5
Bent by: BAKER ELEOTRIO ~NC
CI°
ConIrol [nsl~.ll~lions
of Iowa, lnc,
15152882228; 03/03/00 8:09; ~ItjF~L_#232;Pag~ /5
PAX ($1~) 288-2226
· FOR~ HO
TOI~ 017 SOUTBOLD
BUILDING
TOI~lg
SOUTIIOLD, I1.¥. 11971
'TBL: 765-1802
BOARD OF i]I~ALTIB... ........ - -- ·
~ se~s o.~s ......... ' ......
SURVEY ~ ......................
c~c~ .~..5~&2 ..............
SEPTIC t~OIRl ...................
HOTIF¥:
CALL ..................
HA~L TO: ....................
Plumbers Licen°~
Blectricians License lb ......................
(~ 7-~ rT~-~le~.t'~ ...
Street
~ ~ ~. ~ ~-~.~..., ........ ~ .... ~a ....... ~, ..--.,~
~ivisi~ ..... ~..~,~..: .......... -"Fzl~ ~.~ ................ ~t ........ .......
(~)
2. S~te ~sti~ ~ ~ ~o~ O[ ~ ~1~ ~ ~~ ~ P~
~. ~.,~ ~ ~ ~ ........... ~ ~~ ~,,.~~~~....~.~.,,,~ .............................
,' ~ J
. . ~ ~H o~ ..................................
ffatur~ of ~ork (c~*ck ~hich appll~able)t ~ ~tldi~ .. ........ ~i~i~ ~,~ ~Ceract~ ..........
~th .................... ~t~ .................... ~r~ of Stories ...............
~t~t ......................... ~r of States .....................
I0. ~te o~ ~a~ : ~ of Four ~t
~OT
~r interior or ~t lot.
mmm~ i11km N ~
STATE OONITNUGI~ & INlNff
CODE& NOT ~~ F~
swor~, deposes end says that be is tie applicant
Ile is tl.~ ......................................................................................
(Co~ts*actot~J~t, torture ofitcec, etc.)
of ~d mr ~ mca, ~ is ~ly ~t~ri~ to ~rfom or h~ ~rf~ ~m ~{d ~ ~ to ~ke ~ file this
~mt ~ ~ will ~ ~r~ in ~e ~e~,~r ~t f~th ~ ~e ~lt~ti~ fil~ ~.
,o~orn to before me this :
(Signature of Apptiemnt)